| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
1,259 |
880 |
$65K |
| 96160 |
|
907 |
882 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,778 |
19,174 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,498 |
2,492 |
$30K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,938 |
1,400 |
$21K |
| 99050 |
|
13,484 |
11,963 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,622 |
1,162 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,479 |
1,054 |
$5K |
| 99441 |
|
4,191 |
3,430 |
$4K |
| 90715 |
|
229 |
134 |
$3K |
| 90656 |
|
395 |
315 |
$2K |
| 0012A |
|
129 |
105 |
$2K |
| 0011A |
|
197 |
167 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
754 |
728 |
$2K |
| 90677 |
|
215 |
121 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
271 |
244 |
$1K |
| 99442 |
|
480 |
428 |
$998.30 |
| 90716 |
|
330 |
202 |
$812.41 |
| 90686 |
|
60 |
60 |
$801.95 |
| 90707 |
|
334 |
208 |
$381.42 |
| 90474 |
|
112 |
97 |
$366.00 |
| 0013A |
|
13 |
12 |
$360.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$331.66 |
| 90473 |
|
53 |
53 |
$192.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
61 |
60 |
$166.37 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,308 |
1,988 |
$159.85 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
424 |
360 |
$77.57 |
| 96127 |
|
281 |
274 |
$50.80 |
| 99215 |
Prolong outpt/office vis |
756 |
621 |
$31.00 |
| 90670 |
|
62 |
54 |
$16.09 |
| 99443 |
|
45 |
45 |
$1.50 |
| 90649 |
|
432 |
263 |
$0.16 |
| 90634 |
|
68 |
43 |
$0.08 |
| 90700 |
|
26 |
22 |
$0.01 |
| 90734 |
|
201 |
122 |
$0.01 |
| 90633 |
|
237 |
134 |
$0.01 |
| 3078F |
|
1,488 |
1,395 |
$0.00 |
| 3725F |
|
218 |
215 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
25 |
$0.00 |
| 1159F |
|
393 |
361 |
$0.00 |
| 1158F |
|
304 |
274 |
$0.00 |
| 1160F |
|
409 |
380 |
$0.00 |
| 4035F |
|
56 |
53 |
$0.00 |
| 90623 |
|
118 |
72 |
$0.00 |
| 3077F |
|
89 |
78 |
$0.00 |
| 90621 |
|
56 |
34 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
134 |
134 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
14 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 90697 |
|
140 |
81 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
161 |
155 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
334 |
325 |
$0.00 |
| 2000F |
|
253 |
210 |
$0.00 |
| 1170F |
|
231 |
215 |
$0.00 |
| 3008F |
|
1,055 |
968 |
$0.00 |
| 3075F |
|
80 |
77 |
$0.00 |
| 1125F |
|
116 |
107 |
$0.00 |
| 3074F |
|
1,741 |
1,629 |
$0.00 |
| 3079F |
|
360 |
333 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
60 |
60 |
$0.00 |
| 3048F |
|
35 |
35 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
15 |
$0.00 |
| 2001F |
|
141 |
118 |
$0.00 |
| 3044F |
|
15 |
15 |
$0.00 |
| 1126F |
|
99 |
95 |
$0.00 |
| 90620 |
|
31 |
17 |
$0.00 |
| 90696 |
|
50 |
31 |
$0.00 |
| 90680 |
|
42 |
23 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
21 |
21 |
$0.00 |
| 3017F |
|
13 |
13 |
$0.00 |